Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.41 / $348.10 / $3,500.00	Facility		$50.41	$348.10	$3,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $72.55 / $140.00	Professional		$30.79	$72.55	$140.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $114.03	Professional		$68.20	$68.20	$114.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $47.61 / $92.94	Professional		$27.89	$47.61	$92.94
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $41.84 / $71.41 / $139.41	Professional	50	$41.84	$71.41	$139.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $40.76 / $47.56	Facility		$33.97	$40.76	$47.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.02 / $83.62 / $102.63	Professional		$76.02	$83.62	$102.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $68.06 / $123.27	Professional		$35.13	$68.06	$123.27
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.24 / $79.52 / $131.21	Professional		$63.24	$79.52	$131.21